CESSA Statewide Advisory Committee Meeting Minutes 08/14/23

Approved by Committee Members 9/11/2023

Community Emergency Services and Support Act (CESSA) Statewide Advisory Committee

Meeting Minutes - Monday, August 14, 2023 - 1:00 pm-3:00 pm via WebEx

This meeting was recorded

Call to Order/Roll Call 

  • Meeting called to order by Secretary Grace Hou at 1:04 pm.
  • Approval of Minutes (6/12 and 7/10 meeting): A motion was presented by Brent Reynolds to approve minutes, seconded by Cindy Barbera-Brelle. Minutes approved by all present members, unless listed as "abstain" below.
  • Members Present: David Albert, Bobby Van Bebber (Designee for Ashley Thoele), Cindy Barbera-Brelle, Brent Reynolds, Shelly Dallas, Rick Manthy (abstain), Jim Kaitschuk, Blanca Campos, Emily Miller, Pooja Nagpal, Charlie Petrof (Designee for Candace Coleman, abstain), Curtis Harris
  • Members Absent: Drew Hansen, Alice Cary
  • Lee Ann Reinert reviewed procedures around the Open Meetings Act and meeting logistics.  

State Updates, Lee Ann Reinert 

  • Public Questions:
    • There could be other types of mental health response providers in the future, so it is written more broadly. Currently DMH has funding through program 590 and is using the Mobile Crisis Response Teams. There could be a broadening of these roles.
  • Charlie Petrof: 590 providers might do something legislatively different from CESSA legislation.
    • IL and VA are not necessarily the only two states that 911 calls could go to 988, but these are the only two states requiring at a statewide level coordination between 911 and 988.
    • Jim Kaitschuk: I have not heard this as an issue, but if it is, we can certainly reach out and address it. The only way I know to track this down is through actual occurrences.
  • Case by case, we should reach out and try to address it
  • Legislation and 988 Workgroup
    • Spring legislation passed a 988 Workgroup
    • It's a public meeting posted on OMA website, all are welcome to attend
    • Purpose of the group is the development of an Action Plan with recommendations to the General Assembly due by December
  • CESSA Vision Development Process
    • August SAC: Overall plan, Introduction of Mike Thompson, SAC, RAC, and ECG interviews
    • September SAC: The Illinois and National Context for the Crisis Response Continuum
    • October SAC: Morning retreat focused on relationship building, afternoon meeting focused on vision development
    • Mike Thompson, Visioning and Development Consultant
      • 30 - year career with a focus on ending police and emergency room default response to mental health crisis
      • How you view these issues depends on how you treat the actions. Each stakeholder will have a different interpretation of the challenges. Therefore, there are plans to have interviews with members from across the board to gain different perspectives.

FY 24 Work Plan, Peter Eckart and Mary Smith

  • Development of an extension of the "Sprint to July" (FY 23), to get us to July 2024
  • CESSA legislation / revision, plus the visioning session are all input into the work plan
  • Initial implementation plan, but over time we will be implementing all of the system changes necessary to meet CESSA requirements
  • RACs and PSAPs have been working on the IRLM. 3 primary emergency medical dispatch systems: APCO, Priority Dispatch, Powerphone. 20 + CAD systems.
  • Financial resource and human capital considerations need to be made. Costs will vary based on EMD vendors, EMD systems, and CAD systems.

Regional Advisory Committee Reports

  • Region #9, Matthew Jordan
    • Prior to CESSA, this region had monthly meetings with 590s
    • Only one meeting without quorum
    • Subgroups, particularly regarding dispatch, as well as individual topics
    • Hurdles: looking for state guidance on dispatch decision tree, majority of PSAPs use Priority Dispatch, looking for Input on Card 25 determinants
    • Questions: Role of 988 specific to triage and dispatch? Creation of State database for BH patients using CESSA
  • Region #2, Dennis Duke
    • Large geography to cover. Consistent meeting attendance.
    • Established protocols and standards, and technology subcommittees
      • Improved understanding of the system and roles of all
    • Challenges: consistent engagement, time commitment, regional service variance, completion of landscape analysis surveys, dispatch centers decision making, and provider resources
    • Moving forward: enhance cross sector collaboration, maintain flexibility related to risk matrix, complete landscape analysis survey
  • Arukah / Rural Crisis Response, Sarah Scruggs and Alison White
    • "Bringing accessible and relational behavioral health and wellness to rural people"
    • Prevention and wellness, treatment, innovation and collaboration, specific to needs and resources of rural populations
    • Community partnerships are at the center of the work. Communication had to be fluid, bi-directional
    • Various co-response models
    • Crisis Continuum, entry at a variety of places

Arizona Model, Brenda Hampton

  • Crisis line, Mobile team, Crisis facilities. Premised on a model of best practices. Anyone, anywhere, anytime.
  • Solari Crisis and Human Services - centralized dispatch. Community Bridges - mobile crisis response
  • Mental and behavioral health crisis go through Solari. Centralized dispatch uses "airport model" - using GPS technology to deploy, track their locations, and ensure communications are operational. Shared electronic health record between Solari and Community Bridges
  • Less than 1% of MH/BH crisis calls (42,000 through Solari, 5,000 to 988) involve law enforcement response
  • Crisis stabilization units (sub-acute and acute), IL still needs to develop this
  • Blended funding: Medicaid dollars, block grants, managed care, braided funding, other sources

Virginia Site Visit, Mary Smith

  • Interconnected reforms: Project Bravo, Marcus Alert, Hospital Census, DOJ Settlement Agreement, STEP-VA, Crisis System Transformation, 988 Implementation
  • 5 regions in VA for regional implementation. Towns of 40,000 or more have to establish their own Mobil Crisis Response Teams
  • Vision for the crisis system transformation: Objective - The development of a community-based, trauma-informed, recovery-oriented crisis system that responds to crises where they occur and prevent out-of-home placements.
    • High-tech crisis call centers, 24/7 mobile crisis, Crisis stabilization programs, Essential principles and practices
  • Virginia Crisis Connect - Model uses airport model, wants to make sure there is follow up and a warm hand off. MCRTs and members provide information about location so they can dispatch the closes person.

Public Comment

  • Dr. Valencia Williams: American Indian Health Service of Chicago. Were awarded the 911 / 988 community response program. I would love to meet with the people at Aruka as it seems like a great program there. With the IRLM, at what level is the demographic information collected and referral sources handed? I would think it would not be at level 4 but possibly levels 3, 2, and 1. And the last question is with the statewide database for BH patients what demographic information would be collected and who would have access to that database? Thank you.
    • Lee Ann Reinert: Thank you. We have noted your comments and we will bring them up to the next meeting where we can answer them.
  • Zachary Gittrich: Technical issues, we cannot hear him.
  • Charlie Petrof: Is the IRLM going to be open for discussion when the group has its visioning process? Are decisions going to be made or anything moved forward before this process?
    • Lee Ann: Do you mean, are there going to be changes because of the visioning process?
    • Charlie: If in the visioning process, the vision is for something that isn't reflected in the matrix, would the matrix be reconsidered?
    • Lee Ann: IT's been developed by a subcommittee of this group. The intention of the IRLM was to provide an interim that considers the restrictions of our current resources, but it may change over time as our system evolves.

Adjournment: Motion to adjourn by Shelley Dallas, seconded by Blanca Campos. Secretary Hou adjourned the meeting at 3:04 pm.